Apparatus for sealing surgical punctures
View Patent ↗Apparatus is provided for sealing a puncture within a vessel or tissue to provide hemostasis, comprising a first disk coupled to either a second disk or a spring, and sealingly engaged to the vessel or tissue surrounding the puncture. At least the first disk is preferably configured to substantially conform to the profile of the vessel or tissue when deployed. In one embodiment, the disks may be released from engagement with the vessel or tissue to reposition the disks after deployment.
1. A device for sealing a subcutaneous puncture site of a vessel wherein the subcutaneous puncture site is accessed through a puncture tract that extends through subcutaneous tissue to the subcutaneous puncture site, the device comprising:
a first disk comprised of a first membrane made of material that is flexible and fluid impermeable, and
a first self-expanding wire frame which supports the first membrane, the first wire frame including a first central point, the first membrane and the first wire frame being foldable into
a first configuration wherein the first disk is folded to permit introduction of the folded first disk through the puncture tract of the tissue to the subcutaneous puncture site, and then through the subcutaneous puncture site into the interior of the vessel, and
the first membrane and the first wire frame then being self-expanding toward a second configuration once inside the vessel in order to unfold so that the first membrane and the first wire frame will position the first disk against the interior wall of the subcutaneous puncture site to facilitate sealing of the puncture site; and
a second disk axially adjustable toward and away from the first wire frame of the first disk prior to, throughout, and after deployment so as to advance together as an integral unit through the puncture tract, the second disk being configured for placement within the puncture tract to securely engage the tissue of the puncture tract, and when secured within the puncture tract the second disk exerting a lateral force on the surrounding tissue of the puncture tract and exerting a longitudinal force on the first disk when it is unfolded in order to urge the first disk against the puncture site to facilitate sealing the puncture site, the second disk comprising
a second self-expanding wire frame, the second wire frame including a second central point, the second self-expanding wire frame being foldable into
a first configuration wherein the second disk is folded to permit introduction of the folded second disk and the folded first disk through the puncture tract of the tissue to the subcutaneous puncture site, and then introduction of the first disk through the subcutaneous puncture site into the interior of the vessel, and
the second wire frame of the second disk then being self-expanding toward a second configuration once inside the puncture tract in a second configuration so that the second wire frame of the second disk will exert a lateral force on the surrounding tissue of the puncture tract while also exerting a longitudinal force against the first disk in order to urge the first disk against the interior wall of the subcutaneous puncture site to facilitate sealing of the puncture site, and
the first central point of the first wire frame of the first disk and the second central point of the second wire frame of the second disk being separated by a first distance in the first configuration and by a second distance in the second configuration, the first distance being larger than the second distance.
2. The device of claim 1 , wherein the device is configured to be releasably engaged to the interior vessel surface.
3. The device of claim 1 , wherein the first disk is configured to be moveably coupled to the second disk.
4. The device of claim 1 , further comprising a stop feature to prevent accidental disengagement of the first and second disk.
5. The device of claim 4 , wherein the first disk is attached to a nut and the second disk is attached to a bolt, the nut configured to be moveably coupled to the bolt.
6. The device of claim 1 , wherein one or both of the first disk and the second disk comprises barbs, hooks, sharp edges, or roughened surfaces.
7. The device of claim 1 , further comprising a minimally invasive delivery element configured to deliver the first disk and the second disk.
8. The device of claim 1 , further comprising at least one delivery element constrained to translate a maximum distal depth.
9. A device for sealing a subcutaneous puncture site of a vessel wherein the subcutaneous puncture site is accessed through a puncture tract that extends through subcutaneous tissue to the subcutaneous puncture site, the device comprising:
a first disk comprised of
a first membrane made of material that is flexible and fluid impermeable, and
a first self-expanding wire frame which supports the first membrane, the first wire frame including a first central point, the first membrane and the first wire frame being foldable into
a first configuration wherein the first disk is folded to permit introduction of the folded disk through the puncture tract of the tissue to the subcutaneous puncture site, and then through the subcutaneous puncture site into the interior of the vessel, and
the first membrane and the first wire frame then being self-expanding once inside the vessel in order to unfold so that the first membrane and the first wire frame will position the first disk against the interior wall of the subcutaneous puncture site to facilitate sealing of the puncture site; and
a second disk axially adjustable toward and away from the first wire frame of the first disk prior to, throughout, and after deployment so as to advance together as an integral unit through the puncture tract and to facilitate repositioning of the device at the subcutaneous puncture site, the second disk being configured for placement within the puncture tract to securely engage the tissue of the puncture tract, and when secured within the puncture tract the second disk exerting a lateral force on the surrounding tissue of the puncture tract and exerting a longitudinal force on the first disk when it is unfolded in order to urge the first disk against the puncture site to facilitate sealing the puncture site, the second disk comprising
a second self-expanding wire frame, the second wire frame including a second central point, the second self-expanding wire frame being foldable into
a first configuration wherein the second disk is folded to permit introduction of the folded second disk and the folded first disk through the puncture tract of the tissue to the subcutaneous puncture site, and then introduction of the first disk through the subcutaneous puncture site into the interior of the vessel;
the second wire frame of the second disk then being self-expanding once inside the puncture tract so that the second wire frame of the second disk will exert a lateral force on the surrounding tissue of the puncture tract while also exerting a longitudinal force against the first disk in order to urge the first disk against the interior wall of the subcutaneous puncture site to facilitate sealing of the puncture site; and
the first central point of the first wire frame of the first disk and the second central point of the second wire frame of the second disk being separated by a first distance in the first configuration and by a second distance in a second configuration, the first distance being larger than the second distance.
10. The device of claim 9 , further comprising a stop feature to prevent accidental disengagement of the first and second disk.
11. The device of claim 10 , wherein the first disk is attached to a nut and the second disk is attached to a bolt, the nut configured to be moveably coupled to the bolt.
12. The device of claim 9 , wherein the second disk is moveably coupled to the first disk.
13. The device of claim 9 , wherein one or both of the first disk and the second disk comprises barbs, hooks, sharp edges, or roughened surfaces.
14. The device of claim 9 , further comprising a minimally invasive delivery element configured to deliver the first disk and the second disk.
15. The device of claim 9 , further comprising at least one delivery element constrained to translate a maximum distal depth.
16. A device for sealing a subcutaneous puncture site of a vessel wherein the subcutaneous puncture site is accessed through a puncture tract that extends through subcutaneous tissue to the subcutaneous puncture site, the device comprising:
a first disk comprised of
a first membrane made of material that is flexible and fluid impermeable, and
a first self-expanding wire frame which supports the first membrane, the first wire frame including a first central point, the first membrane and the first wire frame being foldable into
a first configuration wherein the first disk is folded to permit introduction of the folded disk through the puncture tract of the tissue to the subcutaneous puncture site, and then through the subcutaneous puncture site into the interior of the vessel, and
the first membrane and the first wire frame then being self-expanding once inside the vessel in order to unfold so that the first membrane and the first wire frame will position the first disk against the interior wall of the subcutaneous puncture site to facilitate sealing of the puncture site;
a connecting member; and
a second disk axially adjustable toward and away from the first wire frame of the first disk prior to, throughout, and after deployment so as to advance together as an integral unit through the puncture tract and to facilitate repositioning of the device at the subcutaneous puncture site, the second disk being configured for placement within the puncture tract to securely engage the tissue of the puncture tract, and when secured within the puncture tract the second disk exerting a lateral force on the surrounding tissue of the puncture tract and exerting a longitudinal force on the first disk when it is unfolded in order to urge the first disk against the puncture site to facilitate sealing the puncture site, the second disk comprising
a second self-expanding wire frame, the second wire frame including a second central point, the second central point of the second wire frame being moveably connected to the first wire frame of the first disk by the connecting member prior to, throughout, and after deployment so as to advance together as an integral unit through the puncture tract and to facilitate the separation of the first central point and the second central point from engagement with each other and separation of the occlusion element with the interior vessel surface, thereby permitting the apparatus to be repositioned, the second wire frame being foldable into
a first configuration wherein the second disk is folded to permit introduction of the folded second disk and the folded first disk through the puncture tract of the tissue to the subcutaneous puncture site, and then introduction of the first disk through the subcutaneous puncture site into the interior of the vessel;
the second wire frame of the second disk then being self-expanding once inside the puncture tract so that the second wire frame of the second disk will exert a lateral force on the surrounding tissue of the puncture tract while also exerting a longitudinal force against the first disk in order to urge the first disk against the interior wall of the subcutaneous puncture site to facilitate sealing of the puncture site; and
the first central point of the first wire frame of the first disk and the second central point of the second wire frame of the second disk being separated by a first distance in the first configuration and by a second distance in a second configuration, the first distance being larger than the second distance.